Employment Application and Assessment

First Name *

Middle Name

Last Name *

Address *

City *

State *

Zip Code *

Email *

Primary Phone *

High School Name

Did you graduate high school?

Name of Technical School

Number of years attended technical school

Name of College

Number of years attended college

Employer Name

Job title

Start Date

MM

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DD

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YYYY

End Date

If you are still employed by this employer, leave End Date blank

MM

/

DD

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YYYY

Employer Name

Job title

Start Date

MM

/

DD

/

YYYY

End Date

If you are still employed by this employer, leave End Date blank

MM

/

DD

/

YYYY

Most people are honest by nature. *

Employees who leave work early without permission are stealing. *

Most people can be trusted. *

Very few people steal at work. *

If someone is undercharged in a store they should tell the cashier. *

Teenagers who shoplift should always be punished. *

Most people have never shoplifted as teenagers. *

Most people can not be trusted. *

Nothing is wrong with taking home supplies from work now and then. *

Teenagers often go through a shoplifting stage. *

No one is the victim when you steal from your company. *

It is human nature to steal from others. *

I have taken merchandise from work. *

The laws against shoplifting are too harsh. *

I cannot remember the last time I lost my temper at work. *

People who get angry at work should receive counseling. *

I have almost never become angry at work. *

People who know me would not say I had a temper. *

Sometimes my co-workers annoy me. *

Computer Hackers are punished too harshly. *

It’s normal to lose your temper at work occasionally. *

When driving, I sometimes get angry with other road users. *

I have never felt angry at a supervisor or manager. *

I have never been annoyed with a co-worker. *

I have always had the perfect job. *

I rarely worry about how well I’m doing at my job. *

I have confidence in my ability to handle my work responsibilities. *

I never get upset if my work is criticized by my manager. *

I have a positive relationship with my co-workers. *

I have never suffered physical symptoms due to stress at work. *

Work is the most stressful thing in my life. *

Sometimes I don’t feel able to handle all my work responsibilities. *

I sometimes worry about losing my job because of office politics.. *

I have sometimes lost sleep worrying about work. *

I have never failed to complete a work assignment on time. *

I have never been tired at work. *

I have never made a mistake at work. *

Work is the most important thing in my life. *

I am nearly always happy to work late or over a weekend if needed.. *

I almost never become bored with the work I do. *

Employees should be expected to work extra hours to finish a job on time. *

I admire people who work long hours. *

People who know me say I work too hard. *

Work can be an addiction just like gambling. *

I become frustrated with jobs when they no longer interest me. *

I feel sorry for people who put in long hours at work. *

My pay is more important to me than the contributions I make to the company. *

I know many people who work themselves too hard. *

If I’m unhappy with a job, the best thing for me to do is to quit as soon as possible. *

Vacations are very important to me. *

I am usually described as an outgoing person. *

Almost none of my friends are quiet and reserved. *

In social settings I enjoy introducing myself to an unfamiliar person. *

I almost never feel bored at parties. *

It’s easy for people to see my moods. *

I find it easy to keep a conversation going. *

I avoid being the center of attention whenever possible. *

I am usually quiet and reserved at social gatherings. *

I do not enjoy chatting with strangers. *

I sometimes try to avoid meeting new people. *

In conversations I like to let the other person do most of the talking. *

I find it more productive to work alone than as part of the group. *

I’m happy to see people whatever the circumstances. *

I have never met someone I didn’t like. *

I have never felt alone. *

I always tell people exactly what I think. *

People can become more successful through the right motivation. *

Every person has the potential to be creative at work. *

The great figures in history always looked at least five or 10 years into the future. *

I have a strong set of personal goals. *

Many managers focus too much on details and not the big picture. *

The majority of people are already inspired to do their best work. *

Supervisory responsibilities tend to bring out a person’s negative side. *

Nothing motivates employees more than money or fear of losing their job. *

What is good for the organization is the concern of supervisors, not employees. *

I rarely have a strong set of personal goals. *